Individual
CHARNELL DORTCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16119 FENMORE ST, DETROIT, MI 48235-3420
(313) 247-8738
Mailing address
16119 FENMORE ST, DETROIT, MI 48235-3420
(313) 247-8738
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401014696
MI
Other
Enumeration date
11/27/2017
Last updated
11/03/2022
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